Organization · Type 2 NPI

Dierksen of Texarkana Arkansas LLC

Community Based Hospice Care Agency · Texarkana, AR

NPI number 1104088632 Active

Practice location

4613 Parkway Dr Ste 20
Texarkana, AR 71854-1191

Call (870) 773-4353 Map

Fax (870) 773-4418

Mailing address

500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

Other community based hospice care agency providers in Texarkana

Odyssey Healthcare Operating A, LPCommunity Based Hospice Care Agency Texarkana, AR NPI 1003266040
Serenity HospiceCommunity Based Hospice Care Agency Texarkana, AR NPI 1487057733
Hospice of Texarkana, Inc.Community Based Hospice Care Agency Texarkana, AR NPI 1548268683
Eh Home Health of East Texas, LLCCommunity Based Hospice Care Agency Texarkana, AR NPI 1649726464
Sotto International, Inc.Community Based Hospice Care Agency Texarkana, AR NPI 1770538670

See all in Texarkana →

NPI record

NPI: 1104088632
Entity type: Organization (Type 2)
Issued: Jun 26, 2008
Last updated: Sep 24, 2026
Status: Active

Other names

<unavail>
Dierksen Hospice · doing business as
Dierksen Memorial Hospice · doing business as

Authorized official

Jesse R Moore
Chief Administrative Officer
(857) 331-6271

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104088632

Dierksen of Texarkana Arkansas LLC's National Provider Identifier is 1104088632, issued on Jun 26, 2008. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Texarkana, AR. The record was last updated on Sep 24, 2026.